ZACHARY SAMUEL GORDON
NPI 1912609322
Counselor - Professional in Rosedale, MD

Q: What is Zachary Gordon's NPI number?

The NPI number for Zachary Gordon is 1912609322. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Zachary Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Gordon was last updated on July 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment

9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Zachary Samuel Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY SAMUEL GORDON (NPI 1912609322) is an individual professional provider in Rosedale, Maryland, licensed in Maryland (LC16725) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912609322

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameZACHARY SAMUEL GORDON

Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157

Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203

Phone(410) 780-5203

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1912609322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC16725

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LGP13497 (MD)

9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Samuel Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426553744

PECOS Enrollment IDI20250926000465

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN ALEXANDRA ROSA LCPC

Counselor (Professional)